HomeMy WebLinkAboutLOWELL ST 90"-.Alf':roed S.Buaa..-.Service No.200
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Addr_90 Lowell Street
Location C;.,'?l '?7,/*/,/~7
Kind of Pipe Sin Size of Main I
~New SerYice Location
Date Material Am<lunt Total Date Amount
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Labor j f5.u-.P.4.i-.<-+/-1.3 ,....f{i,#Jl3K't
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The undersigned appIies for the construction of apartic ul ar sewer connecting No........... _. . _. _. . . .
Street and hereby agrees to campiy with the Rules and Regulations governing the consI ruction a nd use of ParticuIar
Sewers,as now or at any futu re time established by the Board of Se lectmen.
Am't of estimafe $ .
Am't Paid $................•
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TOWN OF LEXINGTON-DEPT.OF PUBLIC WORKS
SEWER DIVISION
DATE ..•••.•.•••.••.••••••••••NO .
..................................Owner
..,sr.,
Sketch of Service He...
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Connection made in ................•......•....._.Street.
Remarks:
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Work completed......•..........'9..
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